British journal of anaesthesia
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We describe a practical method of training anaesthetists in the technique of awake fibreoptic intubation. This is performed on a training course using the delegates as subjects. ⋯ The use of course delegates as subjects for training was acceptable to anaesthetists and is associated with a low level of discomfort and morbidity.
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Case Reports
Use of implantable cardioverter defibrillator and anti-arrhythmic agents in a parturient.
We describe a case of a 36-yr-old patient who presented at 14 weeks gestation with multifocal dysrrhythmic episodes. Despite treatment with anti-arrythmic agents and an implantable cardioverter defibrillator (ICD) in situ, she continued to experience persistent dysrrhythmic episodes. She was delivered by Caesarean section at 34 weeks under general anaesthesia. We discuss some of the anaesthetic challenges of parturients with ICD devices.
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Randomized Controlled Trial Clinical Trial
Evaluation of effects of magnesium sulphate in reducing intraoperative anaesthetic requirements.
The present randomized, placebo-controlled, double-blind study was designed to assess the effect of peroperatively administered i.v. magnesium sulphate on anaesthetic and analgesic requirements during total i.v. anaesthesia. ⋯ The administration of magnesium led to a significant reduction in the requirements for anaesthetic drugs during total i.v. anaesthesia with propofol, remifentanil and vecuronium.
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Randomized Controlled Trial Comparative Study Clinical Trial
Randomized, double-blind comparison of different inspired oxygen fractions during general anaesthesia for Caesarean section.
The optimal inspired oxygen fraction FI(O(2)) for fetal oxygenation during general anaesthesia for Caesarean section is not known. ⋯ Use of FI(O(2)) 1.0 during general anaesthesia for elective Caesarean section increased fetal oxygenation.
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Randomized Controlled Trial Comparative Study Clinical Trial
Remifentanil or propofol for sedation during carotid endarterectomy under cervical plexus block.
During carotid endarterectomy under regional anaesthesia, patients often require medication to control haemodynamic instability and to provide sedation and analgesia. Propofol and remifentanil are used for this purpose. However, the benefits, side-effects, and optimal dose of these drugs in such patients are unclear. ⋯ As a result of the higher incidence of adverse respiratory effects with remifentanil and similar sedative effects, propofol is preferable for sedation during cervical plexus block in elderly patients with comorbid disease at the dosage used.